Active NPI
Brett Edouard Valette, PHD
- Psychologist
- Northglenn, CO
National Provider Identifier
1770831612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-1548
- Practice address
- 992 W 104TH Ave
Northglenn, CO 80234-3801 - Phone
- (303) 234-1026
- Fax
- (303) 758-7798
- NPI assigned
- Aug 27, 2012
- Last updated
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-1548 | CO | Primary |
Addresses
Primary practice location
992 W 104TH Ave
Northglenn, CO 80234-3801
Mailing address
992 West 104TH Avenue
Northglenn, CO 80234
Phone (303) 234-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-1548 | CO | MD | Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Denver, CO
- NPI 1275877888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1770831612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 WEST 104TH AVENUE",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "80234",
"telephone_number": "303-234-1026",
"fax_number": "303-758-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 W 104TH AVE",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343801",
"telephone_number": "303-234-1026",
"fax_number": "303-758-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALETTE",
"first_name": "BRETT",
"middle_name": "EDOUARD",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY-1548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.